Monica Patrick, DMD is a
Student In An Organized Health Care Education/training Program based in Waukesha, Wisconsin. Monica Patrick is licensed to practice in Iowa (license number RES-30518) and her current practice location is
2117 Corporate Dr, Waukesha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 432-2552.
NPI number for Monica Patrick is 1760904742 and her current mailing address is 2117 Corporate Dr Ste 300, Waukesha, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760904742.
Healthcare Provider's Profile
| Full Name | Monica Patrick |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2117 Corporate Dr, Waukesha, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760904742
- Provider Enumeration Date: 07/12/2017
- Last Update Date: 08/14/2023
Medical Identifiers
Medical identifiers for Monica Patrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760904742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 019.031160 (Illinois) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 1002269-15 (Wisconsin) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | RES-30518 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Monica Patrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Monica Patrick, DMD
2117 Corporate Dr Ste 300,
Waukesha, WI 53189-7573
Ph: (608) 432-2552 | Monica Patrick, DMD
2117 Corporate Dr,
Waukesha, WI 53189-7573
Ph: (608) 432-2552 |
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